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Requests for malaria prevention advice to Public Health England, Malaria Reference Laboratory: a retrospective observational study.
Travel Med Infect Dis. 2013 Jul-Aug; 11(4):205-9.TM

Abstract

BACKGROUND

The Malaria Reference Laboratory (MRL) provides a specialist advisory service for complex queries from healthcare professionals. This study was conducted to examine the types of queries that general practitioners and nurses ask around malaria prophylaxis, to identify issues which are not obvious from existing easily available sources.

METHODS

We reviewed all the faxed requests received over a period of 6 months at the MRL.

RESULTS

There were a total of 608 queries (104 concerning children) relating to 450 travellers. 98% of requests were from general practice (GP or practice nurse). The most common enquiries were about travellers to multiple destinations (95/529, 17.96%), prolonged duration of travel (70/529, 13.23%), the immunosuppressed (38/529, 7.18%), potential drug interactions (69/529, 13.04%), pregnancy and conception (36, 6.81%). 79/529 queries related to patients with multiple conditions requiring expert advice from the MRL. 27% of the enquiries could have been answered by consulting the UK malaria prophylaxis guidelines available on the MRL site.

CONCLUSION

Most queries where practitioners requested help were not easily answered with existing guidelines. Pregnancy and epilepsy are areas where guidance needs strengthening. Difficulties for practitioners were multifactorial, it would be difficult to address all scenarios in guidelines without making them unwieldy.

Authors+Show Affiliations

Public Health England, Malaria Reference Laboratory, London School of Hygiene & Tropical Medicine, Keppel St, London, UK. gaurigodbole@doctors.org.ukNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23735685

Citation

Godbole, Gauri, et al. "Requests for Malaria Prevention Advice to Public Health England, Malaria Reference Laboratory: a Retrospective Observational Study." Travel Medicine and Infectious Disease, vol. 11, no. 4, 2013, pp. 205-9.
Godbole G, Blaze M, Smith V, et al. Requests for malaria prevention advice to Public Health England, Malaria Reference Laboratory: a retrospective observational study. Travel Med Infect Dis. 2013;11(4):205-9.
Godbole, G., Blaze, M., Smith, V., Whitty, C. J., & Chiodini, P. L. (2013). Requests for malaria prevention advice to Public Health England, Malaria Reference Laboratory: a retrospective observational study. Travel Medicine and Infectious Disease, 11(4), 205-9. https://doi.org/10.1016/j.tmaid.2013.05.001
Godbole G, et al. Requests for Malaria Prevention Advice to Public Health England, Malaria Reference Laboratory: a Retrospective Observational Study. Travel Med Infect Dis. 2013 Jul-Aug;11(4):205-9. PubMed PMID: 23735685.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Requests for malaria prevention advice to Public Health England, Malaria Reference Laboratory: a retrospective observational study. AU - Godbole,Gauri, AU - Blaze,Marie, AU - Smith,Valerie, AU - Whitty,Christopher J M, AU - Chiodini,Peter L, Y1 - 2013/06/02/ PY - 2012/10/15/received PY - 2013/04/28/revised PY - 2013/05/08/accepted PY - 2013/6/6/entrez PY - 2013/6/6/pubmed PY - 2015/4/22/medline KW - Malaria KW - Prophylaxis KW - Travellers SP - 205 EP - 9 JF - Travel medicine and infectious disease JO - Travel Med Infect Dis VL - 11 IS - 4 N2 - BACKGROUND: The Malaria Reference Laboratory (MRL) provides a specialist advisory service for complex queries from healthcare professionals. This study was conducted to examine the types of queries that general practitioners and nurses ask around malaria prophylaxis, to identify issues which are not obvious from existing easily available sources. METHODS: We reviewed all the faxed requests received over a period of 6 months at the MRL. RESULTS: There were a total of 608 queries (104 concerning children) relating to 450 travellers. 98% of requests were from general practice (GP or practice nurse). The most common enquiries were about travellers to multiple destinations (95/529, 17.96%), prolonged duration of travel (70/529, 13.23%), the immunosuppressed (38/529, 7.18%), potential drug interactions (69/529, 13.04%), pregnancy and conception (36, 6.81%). 79/529 queries related to patients with multiple conditions requiring expert advice from the MRL. 27% of the enquiries could have been answered by consulting the UK malaria prophylaxis guidelines available on the MRL site. CONCLUSION: Most queries where practitioners requested help were not easily answered with existing guidelines. Pregnancy and epilepsy are areas where guidance needs strengthening. Difficulties for practitioners were multifactorial, it would be difficult to address all scenarios in guidelines without making them unwieldy. SN - 1873-0442 UR - https://www.unboundmedicine.com/medline/citation/23735685/Requests_for_malaria_prevention_advice_to_Public_Health_England_Malaria_Reference_Laboratory:_a_retrospective_observational_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1477-8939(13)00070-7 DB - PRIME DP - Unbound Medicine ER -